Introduction:Abdominal radical trachelectomy (ART) for tumors of the uterine cervix can be performed while the pregnancy is ongoing, but the success rates so far are reduced.Case series presentation:ART was performed in three patients with cervical cancer diagnosed during pregnancy, with a triple aim to offer a radical surgery for cervical cancer, but also to preserve the ongoing pregnancy and fertility. The ART was successful in one patient, and she delivered a healthy baby at term, by cesarean section. The other 2 patients experienced obstetrical complications and lost their pregnancies after ART, but in one of the cases, fertility was preserved.Conclusions:Radical trachelectomy could be performed as alternative therapy for pregnant women with invasive malignancies of the cervix. This procedure may prevent female patients to lose a much-desired pregnancy, their fertility, as well as their maternity.
Preduodenal portal vein (PDPV) is a rare anomaly that can cause duodenal obstruction. PDPV is associated with other congenital anomalies, mainly cardiac and gastrointestinal. Treatment usually consists of bypassing the obstruction by duodenoduodenostomy. We report two cases of PDPV in association with atrial isomerism and malrotation with different surgical management.
We report the first successful primary thoracoscopic repair of congenital diaphragmatic hernia (CDH) in a preterm infant born at 28 weeks of gestation weighing 1,043 g. Left-sided CDH was incidentally diagnosed on postnatal chest X-ray on day 1. The neonate subsequently underwent thoracoscopic repair with primary closure of the defect on day 8 weighing 1,150 g. Intraoperative arterial blood gas monitoring including end tidal carbon-dioxide remained within normal range throughout. Postoperative recovery was uneventful. One year neurodevelopmental outcome was normal for age with no CDH recurrence.
For Europe, the undisputed importance of the Danube can be rendered by some general data: Its hydrographic basin surface exceeds 817000 km2, i.e. about 10% of that of the continent, its length is 2857 km and its mean multiannual discharge is about 6500 m3/s, thus ranking second to Volga river. Romania is the country with the largest surface situated within Danube’s basin (97.4%), representing 29% of Danube’s hydrographic basin. The water resources of the Danube in Bazias section amount to 173 billion m3, 30 billion m3 of which are technically usable resources.Our analysis aimed at determining those complex meteorological situations at the European continent level that triggered exceptional discharges along the Danube river, resulting in severe flooding, causing in turn heavy damages, fatalities, population evacuations and considerable rehabilitation costs. A complex analysis was performed, of statistical-synoptic type and those complex meteorological situations were identified that determined the occurrence of such disasters. Discharges and levels of the Danube were used along the whole measuring period, data from the archive of the National Meteorological Administration, and data, map and image archives from Wetterzentrale (Kartenarchiv, NCEP, NCAR, AVN etc.). The complex meteorological situations at the level of the European continent that triggered exceptional discharges along the Danube correlate with intense cyclonic activity, of both the Icelandic and the Mediterranean cyclones, with the negative phase of the North-Atlantic Oscillation and with decreasing or minimum solar activity (according to data from NOAA's Space Environment Center). The most disastrous floods occurred in the spring of 2006. The paper is important for meteorologists, in their weather forecasting activity, for hydrologists, in their hydrological forecasting and for the institutions involvedin flood management.
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